Publisher: Elsevier   (Total: 3206 journals)

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Showing 1 - 200 of 3206 Journals sorted alphabetically
Academic Pediatrics     Hybrid Journal   (Followers: 39, SJR: 1.655, CiteScore: 2)
Academic Radiology     Hybrid Journal   (Followers: 27, SJR: 1.015, CiteScore: 2)
Accident Analysis & Prevention     Partially Free   (Followers: 106, SJR: 1.462, CiteScore: 3)
Accounting Forum     Hybrid Journal   (Followers: 28, SJR: 0.932, CiteScore: 2)
Accounting, Organizations and Society     Hybrid Journal   (Followers: 44, SJR: 1.771, CiteScore: 3)
Achievements in the Life Sciences     Open Access   (Followers: 8)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 6)
Acta Astronautica     Hybrid Journal   (Followers: 449, SJR: 0.758, CiteScore: 2)
Acta Automatica Sinica     Full-text available via subscription   (Followers: 2)
Acta Biomaterialia     Hybrid Journal   (Followers: 30, SJR: 1.967, CiteScore: 7)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 3)
Acta de Investigación Psicológica     Open Access   (Followers: 2)
Acta Ecologica Sinica     Open Access   (Followers: 11, SJR: 0.18, CiteScore: 1)
Acta Histochemica     Hybrid Journal   (Followers: 5, SJR: 0.661, CiteScore: 2)
Acta Materialia     Hybrid Journal   (Followers: 339, SJR: 3.263, CiteScore: 6)
Acta Mathematica Scientia     Full-text available via subscription   (Followers: 5, SJR: 0.504, CiteScore: 1)
Acta Mechanica Solida Sinica     Full-text available via subscription   (Followers: 9, SJR: 0.542, CiteScore: 1)
Acta Oecologica     Hybrid Journal   (Followers: 12, SJR: 0.834, CiteScore: 2)
Acta Otorrinolaringologica (English Edition)     Full-text available via subscription  
Acta Otorrinolaringológica Española     Full-text available via subscription   (Followers: 2, SJR: 0.307, CiteScore: 0)
Acta Pharmaceutica Sinica B     Open Access   (Followers: 3, SJR: 1.793, CiteScore: 6)
Acta Psychologica     Hybrid Journal   (Followers: 26, SJR: 1.331, CiteScore: 2)
Acta Sociológica     Open Access   (Followers: 1)
Acta Tropica     Hybrid Journal   (Followers: 6, SJR: 1.052, CiteScore: 2)
Acta Urológica Portuguesa     Open Access   (Followers: 1)
Actas Dermo-Sifiliograficas     Full-text available via subscription   (Followers: 3, SJR: 0.374, CiteScore: 1)
Actas Dermo-Sifiliográficas (English Edition)     Full-text available via subscription   (Followers: 2)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3, SJR: 0.344, CiteScore: 1)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Actualites Pharmaceutiques     Full-text available via subscription   (Followers: 7, SJR: 0.19, CiteScore: 0)
Actualites Pharmaceutiques Hospitalieres     Full-text available via subscription   (Followers: 3)
Acupuncture and Related Therapies     Hybrid Journal   (Followers: 8)
Acute Pain     Full-text available via subscription   (Followers: 15, SJR: 2.671, CiteScore: 5)
Ad Hoc Networks     Hybrid Journal   (Followers: 11, SJR: 0.53, CiteScore: 4)
Addictive Behaviors     Hybrid Journal   (Followers: 18, SJR: 1.29, CiteScore: 3)
Addictive Behaviors Reports     Open Access   (Followers: 9, SJR: 0.755, CiteScore: 2)
Additive Manufacturing     Hybrid Journal   (Followers: 14, SJR: 2.611, CiteScore: 8)
Additives for Polymers     Full-text available via subscription   (Followers: 22)
Advanced Drug Delivery Reviews     Hybrid Journal   (Followers: 196, SJR: 4.09, CiteScore: 13)
Advanced Engineering Informatics     Hybrid Journal   (Followers: 13, SJR: 1.167, CiteScore: 4)
Advanced Powder Technology     Hybrid Journal   (Followers: 17, SJR: 0.694, CiteScore: 3)
Advances in Accounting     Hybrid Journal   (Followers: 9, SJR: 0.277, CiteScore: 1)
Advances in Agronomy     Full-text available via subscription   (Followers: 20, SJR: 2.384, CiteScore: 5)
Advances in Anesthesia     Full-text available via subscription   (Followers: 30, SJR: 0.126, CiteScore: 0)
Advances in Antiviral Drug Design     Full-text available via subscription   (Followers: 2)
Advances in Applied Mathematics     Full-text available via subscription   (Followers: 12, SJR: 0.992, CiteScore: 1)
Advances in Applied Mechanics     Full-text available via subscription   (Followers: 12, SJR: 1.551, CiteScore: 4)
Advances in Applied Microbiology     Full-text available via subscription   (Followers: 24, SJR: 2.089, CiteScore: 5)
Advances In Atomic, Molecular, and Optical Physics     Full-text available via subscription   (Followers: 15, SJR: 0.572, CiteScore: 2)
Advances in Biological Regulation     Hybrid Journal   (Followers: 4, SJR: 2.61, CiteScore: 7)
Advances in Botanical Research     Full-text available via subscription   (Followers: 2, SJR: 0.686, CiteScore: 2)
Advances in Cancer Research     Full-text available via subscription   (Followers: 35, SJR: 3.043, CiteScore: 6)
Advances in Carbohydrate Chemistry and Biochemistry     Full-text available via subscription   (Followers: 9, SJR: 1.453, CiteScore: 2)
Advances in Catalysis     Full-text available via subscription   (Followers: 5, SJR: 1.992, CiteScore: 5)
Advances in Cell Aging and Gerontology     Full-text available via subscription   (Followers: 5)
Advances in Cellular and Molecular Biology of Membranes and Organelles     Full-text available via subscription   (Followers: 14)
Advances in Chemical Engineering     Full-text available via subscription   (Followers: 29, SJR: 0.156, CiteScore: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 11, SJR: 0.713, CiteScore: 1)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 11, SJR: 1.316, CiteScore: 2)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 27, SJR: 1.562, CiteScore: 3)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 1)
Advances in Colloid and Interface Science     Full-text available via subscription   (Followers: 21, SJR: 1.977, CiteScore: 8)
Advances in Computers     Full-text available via subscription   (Followers: 14, SJR: 0.205, CiteScore: 1)
Advances in Cosmetic Surgery     Full-text available via subscription   (Followers: 1)
Advances in Dermatology     Full-text available via subscription   (Followers: 16)
Advances in Developmental Biology     Full-text available via subscription   (Followers: 14)
Advances in Digestive Medicine     Open Access   (Followers: 14)
Advances in DNA Sequence-Specific Agents     Full-text available via subscription   (Followers: 7)
Advances in Drug Research     Full-text available via subscription   (Followers: 26)
Advances in Ecological Research     Full-text available via subscription   (Followers: 44, SJR: 2.524, CiteScore: 4)
Advances in Engineering Software     Hybrid Journal   (Followers: 30, SJR: 1.159, CiteScore: 4)
Advances in Experimental Biology     Full-text available via subscription   (Followers: 9)
Advances in Experimental Social Psychology     Full-text available via subscription   (Followers: 51, SJR: 5.39, CiteScore: 8)
Advances in Exploration Geophysics     Full-text available via subscription   (Followers: 2)
Advances in Family Practice Nursing     Full-text available via subscription   (Followers: 1)
Advances in Fluorine Science     Full-text available via subscription   (Followers: 9)
Advances in Food and Nutrition Research     Full-text available via subscription   (Followers: 69, SJR: 0.591, CiteScore: 2)
Advances in Fuel Cells     Full-text available via subscription   (Followers: 17)
Advances in Genetics     Full-text available via subscription   (Followers: 21, SJR: 1.354, CiteScore: 4)
Advances in Genome Biology     Full-text available via subscription   (Followers: 11, SJR: 12.74, CiteScore: 13)
Advances in Geophysics     Full-text available via subscription   (Followers: 8, SJR: 1.193, CiteScore: 3)
Advances in Heat Transfer     Full-text available via subscription   (Followers: 26, SJR: 0.368, CiteScore: 1)
Advances in Heterocyclic Chemistry     Full-text available via subscription   (Followers: 11, SJR: 0.749, CiteScore: 3)
Advances in Human Factors/Ergonomics     Full-text available via subscription   (Followers: 26)
Advances in Imaging and Electron Physics     Full-text available via subscription   (Followers: 4, SJR: 0.193, CiteScore: 0)
Advances in Immunology     Full-text available via subscription   (Followers: 37, SJR: 4.433, CiteScore: 6)
Advances in Inorganic Chemistry     Full-text available via subscription   (Followers: 10, SJR: 1.163, CiteScore: 2)
Advances in Insect Physiology     Full-text available via subscription   (Followers: 2, SJR: 1.938, CiteScore: 3)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6, SJR: 0.176, CiteScore: 0)
Advances in Intl. Accounting     Full-text available via subscription   (Followers: 3)
Advances in Life Course Research     Hybrid Journal   (Followers: 10, SJR: 0.682, CiteScore: 2)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Magnetic and Optical Resonance     Full-text available via subscription   (Followers: 8)
Advances in Marine Biology     Full-text available via subscription   (Followers: 21, SJR: 0.88, CiteScore: 2)
Advances in Mathematics     Full-text available via subscription   (Followers: 17, SJR: 3.027, CiteScore: 2)
Advances in Medical Sciences     Hybrid Journal   (Followers: 9, SJR: 0.694, CiteScore: 2)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 5, SJR: 1.158, CiteScore: 3)
Advances in Molecular and Cell Biology     Full-text available via subscription   (Followers: 26)
Advances in Molecular and Cellular Endocrinology     Full-text available via subscription   (Followers: 8)
Advances in Molecular Pathology     Hybrid Journal   (Followers: 1)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7, SJR: 0.182, CiteScore: 0)
Advances in Nanoporous Materials     Full-text available via subscription   (Followers: 5)
Advances in Oncobiology     Full-text available via subscription   (Followers: 2)
Advances in Ophthalmology and Optometry     Full-text available via subscription   (Followers: 1)
Advances in Organ Biology     Full-text available via subscription   (Followers: 2)
Advances in Organometallic Chemistry     Full-text available via subscription   (Followers: 18, SJR: 1.875, CiteScore: 4)
Advances in Parallel Computing     Full-text available via subscription   (Followers: 7, SJR: 0.174, CiteScore: 0)
Advances in Parasitology     Full-text available via subscription   (Followers: 6, SJR: 1.579, CiteScore: 4)
Advances in Pediatrics     Full-text available via subscription   (Followers: 27, SJR: 0.461, CiteScore: 1)
Advances in Pharmaceutical Sciences     Full-text available via subscription   (Followers: 19)
Advances in Pharmacology     Full-text available via subscription   (Followers: 17, SJR: 1.536, CiteScore: 3)
Advances in Physical Organic Chemistry     Full-text available via subscription   (Followers: 10, SJR: 0.574, CiteScore: 1)
Advances in Phytomedicine     Full-text available via subscription  
Advances in Planar Lipid Bilayers and Liposomes     Full-text available via subscription   (Followers: 3, SJR: 0.109, CiteScore: 1)
Advances in Plant Biochemistry and Molecular Biology     Full-text available via subscription   (Followers: 10)
Advances in Plant Pathology     Full-text available via subscription   (Followers: 6)
Advances in Porous Media     Full-text available via subscription   (Followers: 5)
Advances in Protein Chemistry     Full-text available via subscription   (Followers: 19)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20, SJR: 0.791, CiteScore: 2)
Advances in Psychology     Full-text available via subscription   (Followers: 69)
Advances in Quantum Chemistry     Full-text available via subscription   (Followers: 7, SJR: 0.371, CiteScore: 1)
Advances in Radiation Oncology     Open Access   (Followers: 3, SJR: 0.263, CiteScore: 1)
Advances in Small Animal Medicine and Surgery     Hybrid Journal   (Followers: 3, SJR: 0.101, CiteScore: 0)
Advances in Space Biology and Medicine     Full-text available via subscription   (Followers: 7)
Advances in Space Research     Full-text available via subscription   (Followers: 433, SJR: 0.569, CiteScore: 2)
Advances in Structural Biology     Full-text available via subscription   (Followers: 6)
Advances in Surgery     Full-text available via subscription   (Followers: 13, SJR: 0.555, CiteScore: 2)
Advances in the Study of Behavior     Full-text available via subscription   (Followers: 36, SJR: 2.208, CiteScore: 4)
Advances in Veterinary Medicine     Full-text available via subscription   (Followers: 20)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 15)
Advances in Virus Research     Full-text available via subscription   (Followers: 6, SJR: 2.262, CiteScore: 5)
Advances in Water Resources     Hybrid Journal   (Followers: 57, SJR: 1.551, CiteScore: 3)
Aeolian Research     Hybrid Journal   (Followers: 6, SJR: 1.117, CiteScore: 3)
Aerospace Science and Technology     Hybrid Journal   (Followers: 399, SJR: 0.796, CiteScore: 3)
AEU - Intl. J. of Electronics and Communications     Hybrid Journal   (Followers: 8, SJR: 0.42, CiteScore: 2)
African J. of Emergency Medicine     Open Access   (Followers: 6, SJR: 0.296, CiteScore: 0)
Ageing Research Reviews     Hybrid Journal   (Followers: 12, SJR: 3.671, CiteScore: 9)
Aggression and Violent Behavior     Hybrid Journal   (Followers: 483, SJR: 1.238, CiteScore: 3)
Agri Gene     Hybrid Journal   (Followers: 1, SJR: 0.13, CiteScore: 0)
Agricultural and Forest Meteorology     Hybrid Journal   (Followers: 18, SJR: 1.818, CiteScore: 5)
Agricultural Systems     Hybrid Journal   (Followers: 32, SJR: 1.156, CiteScore: 4)
Agricultural Water Management     Hybrid Journal   (Followers: 47, SJR: 1.272, CiteScore: 3)
Agriculture and Agricultural Science Procedia     Open Access   (Followers: 4)
Agriculture and Natural Resources     Open Access   (Followers: 3)
Agriculture, Ecosystems & Environment     Hybrid Journal   (Followers: 58, SJR: 1.747, CiteScore: 4)
Ain Shams Engineering J.     Open Access   (Followers: 5, SJR: 0.589, CiteScore: 3)
Air Medical J.     Hybrid Journal   (Followers: 8, SJR: 0.26, CiteScore: 0)
AKCE Intl. J. of Graphs and Combinatorics     Open Access   (SJR: 0.19, CiteScore: 0)
Alcohol     Hybrid Journal   (Followers: 12, SJR: 1.153, CiteScore: 3)
Alcoholism and Drug Addiction     Open Access   (Followers: 12)
Alergologia Polska : Polish J. of Allergology     Full-text available via subscription   (Followers: 1)
Alexandria Engineering J.     Open Access   (Followers: 2, SJR: 0.604, CiteScore: 3)
Alexandria J. of Medicine     Open Access   (Followers: 1, SJR: 0.191, CiteScore: 1)
Algal Research     Partially Free   (Followers: 11, SJR: 1.142, CiteScore: 4)
Alkaloids: Chemical and Biological Perspectives     Full-text available via subscription   (Followers: 2)
Allergologia et Immunopathologia     Full-text available via subscription   (Followers: 1, SJR: 0.504, CiteScore: 1)
Allergology Intl.     Open Access   (Followers: 5, SJR: 1.148, CiteScore: 2)
Alpha Omegan     Full-text available via subscription   (SJR: 3.521, CiteScore: 6)
ALTER - European J. of Disability Research / Revue Européenne de Recherche sur le Handicap     Full-text available via subscription   (Followers: 11, SJR: 0.201, CiteScore: 1)
Alzheimer's & Dementia     Hybrid Journal   (Followers: 56, SJR: 4.66, CiteScore: 10)
Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring     Open Access   (Followers: 6, SJR: 1.796, CiteScore: 4)
Alzheimer's & Dementia: Translational Research & Clinical Interventions     Open Access   (Followers: 6, SJR: 1.108, CiteScore: 3)
Ambulatory Pediatrics     Hybrid Journal   (Followers: 5)
American Heart J.     Hybrid Journal   (Followers: 58, SJR: 3.267, CiteScore: 4)
American J. of Cardiology     Hybrid Journal   (Followers: 67, SJR: 1.93, CiteScore: 3)
American J. of Emergency Medicine     Hybrid Journal   (Followers: 48, SJR: 0.604, CiteScore: 1)
American J. of Geriatric Pharmacotherapy     Full-text available via subscription   (Followers: 13)
American J. of Geriatric Psychiatry     Hybrid Journal   (Followers: 17, SJR: 1.524, CiteScore: 3)
American J. of Human Genetics     Hybrid Journal   (Followers: 40, SJR: 7.45, CiteScore: 8)
American J. of Infection Control     Hybrid Journal   (Followers: 35, SJR: 1.062, CiteScore: 2)
American J. of Kidney Diseases     Hybrid Journal   (Followers: 37, SJR: 2.973, CiteScore: 4)
American J. of Medicine     Hybrid Journal   (Followers: 51)
American J. of Medicine Supplements     Full-text available via subscription   (Followers: 3, SJR: 1.967, CiteScore: 2)
American J. of Obstetrics & Gynecology MFM     Hybrid Journal   (Followers: 1)
American J. of Obstetrics and Gynecology     Hybrid Journal   (Followers: 275, SJR: 2.7, CiteScore: 4)
American J. of Ophthalmology     Hybrid Journal   (Followers: 67, SJR: 3.184, CiteScore: 4)
American J. of Ophthalmology Case Reports     Open Access   (Followers: 5, SJR: 0.265, CiteScore: 0)
American J. of Orthodontics and Dentofacial Orthopedics     Full-text available via subscription   (Followers: 6, SJR: 1.289, CiteScore: 1)
American J. of Otolaryngology     Hybrid Journal   (Followers: 25, SJR: 0.59, CiteScore: 1)
American J. of Pathology     Hybrid Journal   (Followers: 32, SJR: 2.139, CiteScore: 4)
American J. of Preventive Medicine     Hybrid Journal   (Followers: 29, SJR: 2.164, CiteScore: 4)
American J. of Surgery     Hybrid Journal   (Followers: 39, SJR: 1.141, CiteScore: 2)
American J. of the Medical Sciences     Hybrid Journal   (Followers: 12, SJR: 0.767, CiteScore: 1)
Ampersand : An Intl. J. of General and Applied Linguistics     Open Access   (Followers: 7)
Anaerobe     Hybrid Journal   (Followers: 4, SJR: 1.144, CiteScore: 3)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 67, SJR: 0.138, CiteScore: 0)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 26, SJR: 0.411, CiteScore: 1)
Anales de Cirugia Vascular     Full-text available via subscription   (Followers: 1)
Anales de Pediatría     Full-text available via subscription   (Followers: 3, SJR: 0.277, CiteScore: 0)
Anales de Pediatría (English Edition)     Full-text available via subscription  
Anales de Pediatría Continuada     Full-text available via subscription  
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 6, SJR: 4.849, CiteScore: 10)
Analytica Chimica Acta     Hybrid Journal   (Followers: 44, SJR: 1.512, CiteScore: 5)
Analytica Chimica Acta : X     Open Access  
Analytical Biochemistry     Hybrid Journal   (Followers: 222, SJR: 0.633, CiteScore: 2)
Analytical Chemistry Research     Open Access   (Followers: 13, SJR: 0.411, CiteScore: 2)
Analytical Spectroscopy Library     Full-text available via subscription   (Followers: 14)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 25, SJR: 0.683, CiteScore: 2)

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Similar Journals
Journal Cover
American Journal of Medicine
Number of Followers: 51  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0002-9343 - ISSN (Online) 1555-7162
Published by Elsevier Homepage  [3206 journals]
  • Epicardial Adipose Tissue Inflammation Can Cause the Distinctive Pattern
           of Cardiovascular Disorders Seen in Psoriasis
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Milton Packer
       
  • The Importance of Hanging in There
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Joseph A. Carrese
       
  • Electrolyte Derangements when Ectopic Cushing's Is Included in Dual
           Paraneoplastic Syndrome
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Oscar M.P. Jolobe
       
  • The Reply
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Nitin Kondamudi, Shah R. Ali, Amit Khera
       
  • QT Interval Abnormalities with Pulmonary Emboli
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): James A. Reiffel
       
  • Necrobiosis Lipoidica
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Lucien Marchand, Sylvie Villar-Fimbel
       
  • A Case of Cushing Syndrome Misdiagnosed as Treatment-Resistant Depression
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Jessica Marciano, Stavroula Christopoulos
       
  • A Rash Diagnosis: A Teachable Moment
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Kristopher Ahn, Rukma Govindu
       
  • Splenic Infarction: A Dark Side of the Nephrotic Syndrome
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Giuseppe Famularo, Andrea Cortese
       
  • Cytomegalovirus-Associated Splenic Infarction
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Ami Schattner, Ina Dubin, Yair Glick
       
  • Spontaneous Resolution of Abdominal Pseudohernia After Herpes Zoster
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Alexandria Riopelle, Daniel Kim, Amit Dayal
       
  • Newly Diagnosed Hemophilia in an Older Adult
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Paul B. Cornia
       
  • Diagnostic Error and Anchoring Bias in a Patient with Schizophrenia
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Shirin Hemmat, Lekshmi Santhosh
       
  • Chronic Chikungunya Arthritis and Rheumatoid Arthritis: What They Have in
           Common
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): J. Kennedy Amaral, Joshua B. Bilsborrow, Robert T. Schoen
       
  • Establishing and Maintaining Research Integrity at Academic Institutions:
           Challenges and Opportunities
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Janet D. Robishaw, David L. DeMets, Sarah K. Wood, Phillip M. Boiselle, Charles H. Hennekens
       
  • Losing My Mind: An Uncommon Presentation of Cushing’s Disease
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Andre Teck Huat Tan, Yen Ling Jocelyn Wong, Shuenn Chiang Soo
       
  • Behind the Leg: Cryptococcal Meningitis, Not Cellulitis
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Masashi Yokose, Yukinori Harada, Taro Shimizu
       
  • Vacation as a Duty Hour Policy Lever
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): John W. Urwin
       
  • Changing the Learning Objectives for Teaching Physical Examination at the
           Medical School Level
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Daniel M. Gelfman
       
  • Lessons on Doctoring from Where There Is No Doctor
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Matthew M. Dacso, Peter Just, Clifford C. Dacso
       
  • CA125-Guided Diuretic Treatment Versus Usual Care in Patients With Acute
           Heart Failure and Renal Dysfunction
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Julio Núñez, Pau Llàcer, Sergio García-Blas, Clara Bonanad, Silvia Ventura, José María Núñez, Ruth Sánchez, Lorenzo Fácila, Rafael de la Espriella, Juana María Vaquer, Alberto Cordero, Mercè Roqué, Carlos Chamorro, Vicent Bodi, Ernesto Valero, Enrique Santas, María del Carmen Moreno, Gema Miñana, Arturo Carratalá, Enrique Rodríguez
       
  • The Effect of Preexisting Anticoagulation on Cerebrovascular Events in
           Left-Sided Infective Endocarditis
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Kyle A. Davis, Glen Huang, S. Allan Petty, Walter A. Tan, Diego Malaver, James E. Peacock
       
  • New-Onset Atrial Fibrillation Among Patients With Infection in the
           Emergency Department: A Multicenter Cohort Study of 1-Year Stroke Risk
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Tobias Graversgaard Hansen, Anton Pottegård, Axel Brandes, Ulf Ekelund, Helene Kildegaard Jensen, Jakob Lundager Forberg, Mikkel Brabrand, Annmarie Touborg Lassen
       
  • Does Ivabradine Decrease Cardiovascular Deaths in Heart Failure
           Patients'
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Thomas A. Marciniak, Dan Atar, Victor Serebruany
       
  • Neighborhood-Level Analysis on the Impact of Accessibility to Fast Food
           and Open Green Spaces on the Prevalence of Obesity
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Evangelia K. Mylona, Fadi Shehadeh, Elvira Fleury, Markos Kalligeros, Eleftherios Mylonakis
       
  • Fifteen-Year Trends of Cardiogenic Shock and Mortality in Patients with
           Diabetes and Acute Coronary Syndromes
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Marco Dauriz, Nuccia Morici, Lucio Gonzini, Donata Lucci, Antonio Di Chiara, Alessandro Boccanelli, Zoran Olivari, Gianni Casella, Leonardo De Luca, Pierluigi Temporelli, Stefano De Servi, Enzo Bonora, Stefano Savonitto
       
  • Effectiveness of Inferior Vena Cava Filters in Patients With Stable and
           Unstable Pulmonary Embolism and Trends in Their Use
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Paul D. Stein, Fadi Matta, Mary J. Hughes
       
  • Postoperative Atrial Fibrillation Following Noncardiac Surgery Increases
           Risk of Stroke
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Anoop N. Koshy, Garry Hamilton, James Theuerle, Andrew W. Teh, Hui-Chen Han, Paul J. Gow, Han S. Lim, Vincent Thijs, Omar Farouque
       
  • Not a Grave Finding: Thymic Hyperplasia in the Setting of Graves’
           Disease
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Michael Voss, Zeb Ijaz Saeed, Diane Donegan
       
  • A Man with a Clot on his Platelets: Adrenal Carcinoma and Dynamic Right
           Ventricular Inflow Obstruction
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Anissa F McClelland, Amit K J Mandal, Fady Zakharious, Constantinos G Missouris
       
  • Cold Case: Mystery in the Midwest of Metastatic Tuberculous Abscesses
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Matthew Enriquez, Moira McNulty
       
  • Perplexing Pruritic Plaques and Pancytopenia: Subacute Cutaneous Lupus
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Jalak Shah, Rose Crutcher, Kellee L. Oller
       
  • Strategies of Unloading the Failing Heart from Metabolic Stress
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Efstratios Koutroumpakis, Bartosz Jozwik, David Aguilar, Heinrich Taegtmeyer
       
  • What Patients With Idiopathic Pulmonary Fibrosis and Caregivers Want:
           Filling the Gaps With Patient Reported Outcomes and Experience Measures
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Meena Kalluri, Fabrizio Luppi, Giovanni Ferrara
       
  • Pain Neurology
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Victor C. Wang, William J. Mullally
       
  • Long-Term Courses of Sepsis Survivors: Effects of a Primary Care
           Management Intervention
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Konrad FR Schmidt, Daniel Schwarzkopf, Laura-Mae Baldwin, Frank M Brunkhorst, Antje Freytag, Christoph Heintze, Konrad Reinhart, Nico Schneider, Michael von Korff, Susanne Worrack, Michel Wensing, Jochen Gensichen, for the SMOOTH Study Group
       
  • Diagnosing Sepsis: qSOFA is Not the Tool We’re Looking For
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Nathan S. Cutler
       
  • Innovative Solutions and Insights to Phlebitis Prevention
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Shu Yun Heng, Robert Tze-Jin Yap, Duncan Angus McGrouther
       
  • The Congestion-Creatinine Interplay in Acute Heart Failure: Time to Move
           Up to the Next Level
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Amir Kazory
       
  • Comanagement by Hospitalists: Why It Makes Clinical and Fiscal Sense
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Nidhi Rohatgi, Kevin Schulman, Neera Ahuja
       
  • Why Are Women Underrepresented in Cardiology'
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Joseph S. Alpert
       
  • Identifying Solutions to Ambulatory Faculty Recruitment, Retention, and
           Remuneration in Graduate Medical Education: An AAIM Position Paper
    • Abstract: Publication date: March 2020Source: The American Journal of Medicine, Volume 133, Issue 3Author(s): Margaret C. Lo, Jonathan Tolentino, Sara B. Fazio, Steve Vinciguerra, Alpesh N. Amin, Andrew Dentino, Susan T. Hingle, Kerri Palamara, Isitri Modak, Michael Kisielewski, John P. Moriarty
       
  • Gout and Progression of Aortic Stenosis
    • Abstract: Publication date: Available online 17 February 2020Source: The American Journal of MedicineAuthor(s): Andrew Adelsheimer, Binita Shah, Alana Choy-Shan, Craig T. Tenner, Jeffrey D. Lorin, Nathaniel R. Smilowitz, V. Courtney Pike, Michael H. Pillinger, Robert Donnino
       
  • The association between resident physician work hour regulations and
           physician safety and health
    • Abstract: Publication date: Available online 13 February 2020Source: The American Journal of MedicineAuthor(s): Matthew D. Weaver, Christopher P. Landrigan, Jason P. Sullivan, Conor S. O'Brien, Salim Qadri, Natalie Viyaran, Wei Wang, Céline Vetter, Charles A. Czeisler, Laura K. Barger
       
  • Changes in Dietary Intake of Animal and Vegetable Protein and Unhealthy
           Aging
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Rosario Ortolá, Ellen A. Struijk, Esther García-Esquinas, Fernando Rodríguez-Artalejo, Esther Lopez-Garcia
       
  • The Association of Abnormal Liver Tests with Hepatitis C Testing in
           Primary Care
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Andrew D. Schreiner, John Bian, Jingwen Zhang, Z. Merle Haulsee, Justin Marsden, Valerie Durkalski-Mauldin, Patrick D. Mauldin, William P. Moran, Don C. Rockey
       
  • The Impact of Substance Abuse on Heart Failure Hospitalizations
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Marin Nishimura, Harpreet Bhatia, Janet Ma, Stephen D. Dickson, Laith Alshawabkeh, Eric Adler, Alan Maisel, Michael H. Criqui, Barry Greenberg, Isac C. Thomas
       
  • The Sweet Spot: Heart Failure Prevention with SGLT2 Inhibitors
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Orly Vardeny
       
  • Correlation between Oral Health and Systemic Inflammation (COHESION): A
           Randomized Pilot Follow Up Trial of a Plaque Identifying Toothpaste
    • Abstract: Publication date: Available online 24 February 2020Source: The American Journal of MedicineAuthor(s): Amit Acharya, Ingrid Glurich, Scott Hetzel, KyungMann Kim, Matthew C. Tattersall, David L. DeMets, Charles H. HennekensABSTRACTBackgroundInflammation is intimately involved in the pathogenesis of atherosclerosis and is accurately measured by high sensitivity C-reactive protein (hs-CRP), a sensitive marker for future risk of cardiovascular disease. The Correlation between Oral Health and Systemic Inflammation (COHESION) trial was designed to test the hypothesis that PlaqueHD, a plaque identifying toothpaste, reduces hs-CRP.MethodsCOHESION was designed initially to enroll 132 subjects with hs-CRP between 2.0 and 10.0 milligrams per liter but randomized 112 between 0.5 and 10.0, of which 103 had baseline and follow up data and comprise the intention to treat sample. Of these, a pre-specified subgroup analysis included 40 with baseline hs-CRP> 2.0 and all hs-CRP < 10. Since the distribution of hs-CRP was skewed toward higher values, to achieve normality assumptions, the significance of changes in hs-CRP between groups over time was tested on log-transformed data using a mixed effects analysis of variance.ResultsThe intention-to-treat analysis showed no significant differences between the PlaqueHD and placebo group (p=0.615). The pre-specified subgroup analysis showed a significant difference between the PlaqueHD and placebo group (p=0.047). This finding resulted from a reduction in hs-CRP at follow up of 0.58 in the PlaqueHD and an increase of 0.55 in the placebo group.ConclusionsThese findings are compatible with those of a prior pilot trial which also suggested benefits only in subjects with baseline elevations. These findings suggest that future trials targeting reductions of hs-CRP levels should randomize subjects with baseline hs-CRP between 2.0 and 10.0 mg/L.
       
  • Generalized Erythroderma with Fever
    • Abstract: Publication date: Available online 21 February 2020Source: The American Journal of MedicineAuthor(s): Ruth Jobarteh, Yiran Emily Peng, Abha Soni, Allan C. Gelber, Paul D. O'Rourke
       
  • Born this way: an elderly woman with a heart murmur
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Katia Bravo-Jaimes, Jamie Essig, Shamim Badruddin Mawji
       
  • A confusing picture: Refractory encephalopathy complicating non-alcoholic
           steatohepatitis
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Jeffrey D. Kravetz, Pradeep Varma, Reza Hosseini, Alexander Thomas, Maxwell D. Eder
       
  • Unusual Case of Longitudinally Extensive Transverse Myelitis
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Syed Hasan Raza, Sandeepkumar Gupta, Debendra Pattanaik, Rafal Kedzierski
       
  • Diffuse Cystic Lung Disease: Consider Sjögren Syndrome in the
           Differential Diagnosis
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Luis Alonso González, Adelis Enrique Pantoja-Marquez, Philip Johnson
       
  • Manifestation of Zollinger-Ellison-Syndrome with hypovolemic shock
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Alexander C. Reisinger, Philipp Eller, Gernot Schilcher, Florian Eisner, Philipp Kreuzer, Gerald Hackl, Walter Spindelböck, Johannes Plank, Patrizia Kump
       
  • Nausea, Vomiting and Refractory Hiccups: Contemplate Beyond Stomach
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Tian Li, Mouyed Alawad, Rishard Abdul
       
  • Fisherman's Dilemma: Disseminated Mycobacterium Marinum in an
           Immunosuppressed Patient
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Usaamah M. Khan, Alexander Rittenberg
       
  • Unusual Presentation of Hepatitis E with Autoimmune Hemolytic Anemia
           – A Case Report
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Dr B J Subhashchandra, Dr M.C. Prasad, Dr P Ashok
       
  • The Great Meat Debate
    • Abstract: Publication date: Available online 19 February 2020Source: The American Journal of MedicineAuthor(s): Joseph S. Alpert
       
  • A Case of Dual Positive Glomerulonephritis with Plasma Cell Dyscrasia
    • Abstract: Publication date: Available online 17 February 2020Source: The American Journal of MedicineAuthor(s): Takayuki Yamada, Hirotaka Miyashita, Mohamed Rasheed, Miriam Chung, LiLi, Fadi El Salem, Kirk N Campbell
       
  • Seeing Snakes: An HIV Patient with Visual Hallucinations
    • Abstract: Publication date: Available online 17 February 2020Source: The American Journal of MedicineAuthor(s): Matthew J. Meyer, Jeffrey J. Carlson, Doris Lin
       
  • Sleeping with elevated upper body does not attenuate acute mountain
           sickness - pragmatic randomized clinical trial
    • Abstract: Publication date: Available online 17 February 2020Source: The American Journal of MedicineAuthor(s): Ulrich Limper, Vera Fiala, Jens Tank, Eva-Maria Elmenhorst, Gereon Schaelte, Ya-Yu Monica Hew, Peter Gauger, Peter Martus, Jens JordanAbstractPurposeAcute mountain sickness commonly occurs following ascent to high altitude and is aggravated following sleep. Cephalad fluid shifts have been implicated. We hypothesized that sleeping with the upper body elevated by 30°, reduces the risk of acute mountain sickness.MethodsIn a pragmatic, randomized, observer-blinded field study at 4,554 meters altitude, we investigated 134 adults aged 18–70 years with a Lake Louise score (LLS) between 3 and 12 points at the evening of their arrival at the altitude. The individuals were exposed to sleeping on an inflatable cushion elevating the upper body by 30° or on a sham pillow in a horizontal position. The primary endpoint was the change in the Acute Mountain Sickness-Cerebral (AMS-C) score in the morning after sleeping at an altitude of 4,554 meters compared with the evening before. Sleep efficiency was the secondary endpoint.ResultsAmong 219 eligible mountaineers, 134 fulfilled the inclusion criteria and were randomized. The AMS-C score increased by 0.250±0.575 in the control group and by 0.121±0.679 in the intervention group (difference 0.105, 95% CI -0.098 – 0.308, p = 0.308). Oxygen saturation in the morning was 79±6 % in the intervention group and 78±6 % in the control group (p=0.863). Sleep efficiency did not differ between groups (p=0.115).ConclusionsSleeping with the upper body elevated by 30° does not lead to relevant reductions in acute mountain sickness symptoms or hypoxemia at high altitude.
       
  • An Underappreciated Embolic Source: Aortic Arch Floating Thrombus
    • Abstract: Publication date: Available online 17 February 2020Source: The American Journal of MedicineAuthor(s): Ami Schattner, Yair Glick, Ina Dubin
       
  • Lessons from three pairs of socks for a third-year medical student
    • Abstract: Publication date: Available online 15 February 2020Source: The American Journal of MedicineAuthor(s): Hursuong Vongsachang
       
  • Chocolate Consumption and Indicators of Adiposity in US Adults
    • Abstract: Publication date: Available online 15 February 2020Source: The American Journal of MedicineAuthor(s): Lee Smith, Igor Grabovac, Sarah E. Jackson, Nicola Veronese, Ce Shang, Guillermo F. López-Sánchez, Felipe B. Schuch, Ai Koyanagi, Louis Jacob, Pinar Soysal, Lin Yang, Xiangzhu ZhuAbstractPurposeTo investigate the association between consumption of chocolate and measures of adiposity in a large, representative sample of US adults.MethodsCross-sectional data from 13,626 non-diabetic adults (≥20 years) participating in the National Health and Nutrition Examination Survey study were aggregated using five study cycles from 2005-06 through 2013-14. Chocolate consumption was determined based on two 24-hour dietary recalls. Body mass index (BMI) and waist circumference were objectively measured. We used multivariable linear regression to test associations of (i) any chocolate consumption (yes/no), and (ii) the total amount of chocolate consumption (grams/day, in quartiles) with BMI and waist circumference. Models controlled for sociodemographic, lifestyle, health-related, and dietary covariates.ResultsOverall, 11.1% of the population self-reported any chocolate consumption in either of their two 24-hour dietary recalls. Adjusted linear regression models showed that individuals who reported any chocolate consumption had 0.92 kg/m2 (95% CI: 0.53 to 1.32) lower BMI, and 2.07 cm (95% CI: 1.22 to 2.92) lower waist circumference than those who reported no chocolate consumption. In models examining the association of amount of chocolate consumption and weight status, compared to those who did not consume chocolate, lower BMI (p for trend =0.003) and waist circumference (p for trend =0.001) were observed in the 1st, 2nd and 3rd quartile of total chocolate consumption.ConclusionsIn this representative sample of US adults, chocolate consumption was associated with lower markers of adiposity. Further research using a longitudinal or experimental design is needed to establish the direction of causation.
       
  • Efficacy and Safety of Intensive Blood Pressure Therapy Using Restricted
           Mean Survival Time – Insights from the SPRINT Trial
    • Abstract: Publication date: Available online 13 February 2020Source: The American Journal of MedicineAuthor(s): Ashok Krishnaswami, Eric Peterson, Dae Hyun Kim, Parag Goyal, Michael W. Rich
       
  • A FREQUENTLY MISSED DIAGNOSIS
    • Abstract: Publication date: Available online 13 February 2020Source: The American Journal of MedicineAuthor(s): Marshall A. Wolf
       
  • Disseminated Erythema Migrans
    • Abstract: Publication date: Available online 13 February 2020Source: The American Journal of MedicineAuthor(s): Ajay Kumar Mishra, Zeba Hashmath, Issam Oneyssi, Abhishek Bose
       
  • Does Metformin Interfere With the Cardiovascular Benefits of SGLT2
           Inhibitors' Questions About Its Role as the Cornerstone of Diabetes
           Treatment
    • Abstract: Publication date: Available online 12 February 2020Source: The American Journal of MedicineAuthor(s): Milton Packer
       
  • AN UNUSUAL CASE OF PLEURAL EFFUSION ASSOCIATED TO FITZ-HUGH-CURTIS
           SYNDROME
    • Abstract: Publication date: Available online 12 February 2020Source: The American Journal of MedicineAuthor(s): Alba Palau-Domínguez, Carlos Feijoo-Massó, Ricard Comet, Ramón Florensa Masip, Manuel Monteagudo
       
  • Cardiac Rehabilitation: An Underutilized Class I Treatment for
           Cardiovascular Disease
    • Abstract: Publication date: Available online 4 February 2020Source: The American Journal of MedicineAuthor(s): Joseph S. Alpert
       
  • Taking Action to Address Medical Overuse: Common Challenges and
           Facilitators
    • Abstract: Publication date: Available online 4 February 2020Source: The American Journal of MedicineAuthor(s): Michael L. Parchman, Lorella Palazzo, Brian T. Austin, Paula Blasi, Nora B. Henrikson, Gabrielle Gundersen, Emmy Ganos
       
  • Corrigendum to “Twenty Common Mistakes Made in Daily Clinical
           Practice” American Journal of Medicine 2020:133(01):1-3
    • Abstract: Publication date: Available online 3 February 2020Source: The American Journal of MedicineAuthor(s): William H. Frishman, Joseph S. Alpert
       
  • The silent symphony of Ludwig van Beethoven (1770-1827)
    • Abstract: Publication date: Available online 2 February 2020Source: The American Journal of MedicineAuthor(s): A Perciaccante, A. Coralli
       
  • The Undiagnosed Patient in Christina's World
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Aleksandar Radonjic
       
  • Fetal Hypertension
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Yan Qiu Wang, Hui Juan Zhang, MJ Quinn
       
  • The Reply
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Joseph S. Alpert
       
  • Death by Powerpoint
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Norman J. Temple
       
  • The Reply
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Vida Abedi, Ramin Zand
       
  • Artificial Intelligence in Medical Education
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Tushar Garg,
       
  • The Undiagnosed Diseases Network as a Tool for Graduate Medical Education
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Aaron W. Aday, Joel B. Krier, J. Carl Pallais, Elizabeth L. Fieg, Calum A. MacRae, Joseph Loscalzo, Members of the UDN
       
  • An Appeal from the American Lyme Disease Foundation
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Phillip J. Baker
       
  • Routine Microbiologic Studies of Pleural Fluid Specimens in Cancer
           Patients
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Marshall Bailey, Georgie Eapen, David Ost, Roberto F. Casal, Carlos Jimenez, Saumil Datar, Sofia Molina, Lara Bashoura, Saadia A. Faiz, Diwakar D. Balachandran, Vickie R. Shannon, Ajay Sheshadri, Horiana B. GrosuAbstractBackgroundPatients who have pleural effusions typically undergo thoracentesis with examination of pleural fluid in their initial assessment. However, limited data are available on the diagnostic yield of pleural fluid bacterial cultures and fungal and acid-fast bacilli (AFB) smear and cultures in patients with cancer.MethodsWe performed a retrospective cohort study of consecutive patients who had new onset pleural effusions and underwent an initial thoracentesis. The primary outcome was diagnostic yield of pleural fluid bacterial cultures and fungal and AFB smear and cultures.ResultsOf 1637 patients, 1547 (94%) had evidence of active malignancy and 1359 (83%) had evidence of metastatic disease. Of the 1637 patients, 542 (33%) had high clinical suspicion of pneumonia within 14 days prior to thoracentesis. Only 14 patients (1.1%) had positive pleural fluid bacterial cultures, and only 6 of these positive cultures met the criteria for true pleural space infection.ConclusionsThe incidence of positive results from pleural fluid bacterial, fungal, and AFB in cancer populations is very low. Unless there is a suspicion for infection, microbiological analysis should be ordered selectively.
       
  • Adult Life-Course Trajectories of Lung Function and the Development of
           Emphysema: The CARDIA Lung Study
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): George R. Washko, Laura A. Colangelo, Raul San José Estépar, Samuel Y. Ash, Surya P. Bhatt, Yuka Okajima, Kiang Liu, David R. Jacobs, Carlos Iribarren, Bharat Thyagarajan, Cora E. Lewis, Rajesh Kumar, MeiLan K. Han, Mark T. Dransfield, Mercedes R. Carnethon, Ravi KalhanAbstractBackgroundPeak lung function and rate of decline predict future airflow obstruction and nonrespiratory comorbid conditions. Associations between lung function trajectories and emphysema have not been explored.MethodsUsing data from the population-based CARDIA Study, we sought to describe the prevalence of visually ascertained emphysema at multiple time points and contextualize its development based upon participant’s adult life course measures of lung function. There were 3171 men and women enrolled at a mean age of 25 years, who underwent serial spirometric examinations through a mean age of 55 years. Trajectories for the change in percent-predicted forced expiratory volume in one second (FEV1) were determined by fitting a mixture model via maximum likelihood. Emphysema was visually identified on computed tomographic scans and its prevalence reported at mean ages of 40, 45, and 50 years.ResultsWe identified 5 trajectories describing peak and change in FEV1: “Preserved Ideal,” “Preserved Good,” “Preserved Impaired,” “Worsening,” and “Persistently Poor.” Ever smokers comprised part of all 5 trajectories. The prevalence of emphysema was 1.7% (n = 46; mean age of 40 years), 2.5% (n = 67; mean age of 45 years), and 7.1% (n = 189; mean age of 50 years). Of those with emphysema at a mean age of 50 years, 18.0% were never smokers. Worsening and poor lung health trajectories were associated with increased odds of future emphysema independent of chronic tobacco smoke exposure (odds ratio 5.06; confidence interval, 1.84-13.96; odds ratio 4.85; confidence interval, 1.43-16.44).ConclusionsLower peak and accelerated decline in FEV1 are risk factors for future emphysema independent of smoking status.
       
  • Us, Too. Sexual Harassment Within Academic Medicine in the United States
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Linda H. Pololi, Robert T. Brennan, Janet T. Civian, Sandra Shea, Emma Brennan-Wydra, Arthur T. EvansAbstractPurposeWe report on the extent of sexual harassment among residents and examine its relationship to specialty and program year and effects.MethodsUsing the C–Change Resident Survey, we surveyed residents in 34 internal medicine, pediatrics, and general surgery programs in 14 academic medical centers (AMCs). A total of 1708 residents completed the survey (70% response-rate); 51% (n = 879) were women. Respondents reported unwanted sexual comments, attention, or advances by a superior or colleagues within the last 2 years. Measures of vitality and ethical or moral distress were included in the surveys.ResultsRates of sexual harassment reported by women differed across the 34 programs, with an interquartile range of 0%-11%. Residents in pediatrics had the lowest frequencies of sexual harassment (mean 2%, 95% confidence interval [CI] 0%, 4%). Residents in internal medicine had higher rates of sexual harassment (mean 7%, 95% CI 1%, 25%). Residents in surgery had the highest rates (mean 12%, 95% CI 2%, 33%). Sexual harassment was associated with lower levels of vitality and higher ethical or moral distress (both, P
       
  • Risk of Cardiovascular Events in Patients With Type 2 Diabetes and
           Metabolic Dyslipidemia Without Prevalent Atherosclerotic Cardiovascular
           Disease
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Jamal S. Rana, Jennifer Y. Liu, Howard H. Moffet, Robert J. Sanchez, Irfan Khan, Andrew J. KarterAbstractBackgroundThe relationship between achieved low-density lipoprotein cholesterol (LDL-C) levels and risk of incident atherosclerotic cardiovascular disease events among patients with diabetes and metabolic dyslipidemia has not been well described.MethodsWe conducted an observational cohort study of statin-treated adults (ages 21–90 years) with type 2 diabetes without established atherosclerotic cardiovascular disease (as of January 1, 2006) who had metabolic dyslipidemia (elevated triglycerides ≥ 150 mg/dL and low high-density lipoprotein cholesterol,
       
  • Ovarian Vein Thrombosis in an Elderly Female with Pyelonephritis
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Katherine Bruening, Sarah Laper, James Pile
       
  • Connective Tissue is the Issue: Relapsing Polychondritis
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Vivek K. Murthy, Andrea Fava
       
  • Glycogenic Hepatopathy Causing Elevated Lactic Acid and Liver Enzymes
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Jessica A. Regan, Bryan Golubski, Elizabeth B. Gilbert, Brian Sullivan, Shannon J. McCall, Suchita S. Sata
       
  • A Curious Case of Endocarditis and Liver Abscess in a Previously Healthy
           Man
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Nicholas Volpe, Sean Connolly, Baljash Cheema, Michael Angarone
       
  • Propensity Score Matching: The ‘Devil is in the Details’ Where More
           May Be Hidden than You Know
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): James A. ReiffelABSTRACTPropensity score matching has been used with increasing frequency in the analyses of non-prespecified subgroups of randomized clinical trials, and in retrospective analyses of clinical trial data sets, registries, observational studies, electronic medical record analyses, and more. The method attempts to adjust post hoc for recognized unbalanced factors at baseline such that the data once analyzed will hopefully approximate or indicate what a prospective randomized data set—the “gold standard” for comparing two or more therapies—would have shown. However, for practical limitations, propensity score matching cannot assess and balance all the factors that come into play in the clinical management of patients and that may be present in the circumstances of the study. Thus, propensity score matching analyses may omit, due to nonrecognition, the effects of several clinically important but not considered factors that can affect the outcomes of the analyses being reported, causing them to possibly be misleading, or hypothesis-generating at best. This review discusses this issue, using several specific examples, and is targeted at clinicians to make them aware of the limitations of such analyses when they apply their results to patients in their care.
       
  • Atrial Fibrillation and Heart Failure With Preserved Ejection Fraction in
           Patients With Nonalcoholic Fatty Liver Disease
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Milton PackerAbstractThe most common causes of chronic liver disease in the developed world—nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH)—are the hepatic manifestations of an insulin-resistant state that is linked to visceral adiposity and systemic inflammation. NAFLD and NASH lead to an expansion of epicardial adipose tissue and the release of proinflammatory adipocytokines that cause microcirculatory dysfunction and fibrosis of the adjoining myocardium, resulting in atrial fibrillation as well as heart failure with a preserved ejection fraction (HFpEF). Inflammatory changes in the left atrium lead to electroanatomical remodeling; thus, NAFLD and NASH markedly increase the risk of atrial fibrillation. Simultaneously, patients with NAFLD or NASH commonly show diastolic dysfunction or latent HFpEF. Interventions include 1) weight loss by caloric restriction, bariatric surgery, or intensive exercise, and 2) drugs that ameliorate fat-mediated inflammation in both the liver and heart (eg, statins, metformin, sodium-glucose cotransporter 2 inhibitors, glucagon-like peptide-1 receptor agonists, and pioglitazone). Patients with NAFLD or NASH commonly have an inflammation-related atrial and ventricular myopathy, which may contribute to symptoms and long-term outcomes.
       
  • An Evidence-Based Review of Elevated Blood Pressure for the Inpatient
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Bryan Stanistreet, Joseph A. Nicholas, John D. BisognanoAbstractElevated blood pressure is common in patients who are hospitalized. There are no guidelines and few recommendations to help inpatient providers manage patients with elevated blood pressure. There are no normal reported values for blood pressure in the inpatient and recording circumstances often widely vary. Many factors may influence blood pressure such as pain, anxiety, malaise, nicotine withdrawal, or withholding home medications. This review of available literature suggests potential harm and little to no potential benefit in treating asymptomatic patients with elevated blood pressure. This review also found no evidence that asymptomatic elevated blood pressure progresses to lead to end-organ damage. However, there are clear instances of hypertensive emergency where treatment is indicated. Conscientious adjustment of an anti-hypertensive regimen should be undertaken during episode of elevated blood pressure associated with end-organ damage.
       
  • Physician Stress and Burnout
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Scott W. YatesAbstractTens (or hundreds) of thousands of Americans die each year as a result of preventable medical errors. Changes in the practice and business of medicine have caused some to question whether burnout among physicians and other healthcare providers may adversely affect patient outcomes. A clear consensus supports the contention that burnout affects patients, albeit with low-quality objective data. The psychological and physical impact on physicians and other providers is quite clear, however, and the impact on the physician workforce (where large shortages are projected) is yet another cause for concern. We have all heard the airplane safety announcement remind us to “Please put on your own oxygen mask first before assisting others.” Unfortunately, like many airline passengers (very few of whom use oxygen masks correctly when they are needed), physicians often do not recognize symptoms of burnout or depression, and even less often do they seek help. We detail the causes and consequences of physician burnout and propose solutions to increase physician work satisfaction.
       
  • On the Pearls and Perils of Sub-Subspecialization
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Ohad Oren, Bernard J. Gersh, Deepak L. Bhatt
       
  • Should Routine Screening for Coronary Artery Disease Be Recommended' A
           Comparison With Routine Screening for Colon Cancer
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): David S. Schade, Sanjeev Arora, R. Philip Eaton
       
  • A Possible and Simple Response to Physician Burnout
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Joseph S. Alpert
       
  • Oath to Self-Care and Well-Being
    • Abstract: Publication date: February 2020Source: The American Journal of Medicine, Volume 133, Issue 2Author(s): Mukta Panda, Kevin E. O'Brien, Margaret C. Lo
       
 
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